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Organization
ROFEH MEDICAL PC
Active
Organization
ROFEH MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZAR FRUCHTER M.D. (DOCTOR)
(845) 367-2476
Entity
Organization
Contact information
Practice address
344 LOOMIS ROAD, LIBERTY, NY 12754-3003
(845) 608-2783
(845) 439-3154
Mailing address
1478 E 15TH ST, BROOKLYN, NY 11230-6602
(845) 608-2783
(845) 439-3154
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
123563
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00974314
—
NY
Enumeration date
04/11/2013
Last updated
04/11/2013
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